| NW 88326

Assassination Records Review Board
‘Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10060-10463
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 19

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 15

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

| Docld:32239471 Page 1

Date: 08/20/93
Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10060-10463

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR. :
FROM ;:
TO 3

TITLE ;

DATE
PAGES

10/12/76
29

SUBJECTS :;
HSCA, ADMINISTRATION
LARSON, BILLIE GAY

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW :. 06/04/93

OPENING CRITERIA

COMMENTS

Box 2.

(R] - ITEM IS RESTRICTED

| NW 88326
| Decid:32239471 Page 2

| Docld:32239471 Page 3

PAYROLL: AUTHORIZATION | FORM Coty ghee aes nn = .
- (Please-Use Typewriter ©.” U. Sy HOUSE: OF. REPRESENTATIVES: (Any erasures, corrections, or-changes:-- .. +
~ or Ballpoint Pen} oe Washington, D.C. 20515 oon this form must be initialed by the.

~ authorizing official.)

- To. the Clerk of the House of Representatives: = ss Do ee

| hereby authorize the following payroll action:

= : Employee Name -(First-Middle-Last) Soha | Effective Date. |. . i
Billie Gay Larson | 3/6/77
ao Employee Social Security Number at - Type of Action. ;

- 599 69 6414 C] Appointment.

Employing Office or Committee 26 = = C Solary Adjustment 7
Select Committee on Assassinations IX] Termination (At close of business on effective date):

(If type of action is an Appointment or Salary Adjustment, complete the following: information.)

Gross Annual Salary

f | | Position Title
(If Committee Employee, complete appropriate item below.)

1. L.] Standing Committee: Staff-[_] Clerical or [| Professional. -

2. [4} Special or Select Committee: Authority=H..Res.: ae of_ BtHicongress.

3. | Joint Committee.

(If Employee of an Officer of the House, complete item below.)-

if applicable, Level_- Stepan ee

- Position Number

wl. certify that - this: authorization is-snot:in. violation of 5 U.S.C. 3110(b), prohibiting the employment of...
relatives. : ce

: Gignotare of Authorizing Official)

ra Atouis Stokes, Chairman

he

a - (Type or print name of Authorizing Official)

a Select Committee on Assassinations

Title If Member, Districtand Stote}ss> ~

-All appointments: and. salary.adjustments.for employees: under the House .Classification;Act and:for Committee: em- 2-65
-. ployees, except those of the Committeexon Appropriations; the: Committee..on. the Budget,.and. the Joint Committeés;must.:° §
- be approved-by the.Committee.on House Administration. 06 cos Ser oes eet

Chairman, Committee on House Administration ’,

. APPROVED:

Office of Finance use only: - :

Office Code

NW 88326 Tn _ :

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- wll
|| NW 88326

'| Docld:32239471 Page 4

- Select Committee on Assassinations a
U.S. Bouse of Representatives

3342 HOUSE OFFICE BUILDING, ANNEX 2.
. WASHINGTON, D.C. 20515

March 2, 1977.

Richard A. Sprague — a
Chief Counsel and Director —
Select Committee on Assassinations

Washington, D.C. |

| Dear Mr. Sprague: :

As we. discussed today, I have accepted a

~~ position in the Office of the Speaker of the House: ”

effective. Monday , March 7. =

7 tr ‘would like to. convey to you my personal
‘admiration and feel we are very fortunate to have

a person of your caliber in. the. service of the .
Congress. - ;

. Your continued | leadership of ‘the investi--
gations. is absolutely vital and I wish you every
7 SUCCESS. . a oF

Billie Gay Larson


PAYROLL. AUTHORIZATION: FORM

-. (Please Use Typewriter «=. US. ‘HOUSE OF:1 REPRESENTATIVES "+. (Any-erasures,: corrections, or-changes.- °°
Washington, D.C. 20515 _ on this form must be initialed: by the |.

- or Ballpoint Pen) authorizing official.)
To the Clerk of the House of Representatives:

| hereby authorize the: following payroll action:

Employee Name (First- “Middle- -Last) cpt co —_ Effective Date.

Billie Gay Larson
_Employee Social Security Number - ee ee Pe a Type of Action
5 29-60-6414 (1 Appointment |
Employing Office or Committee |_|) LiF Solory Adjustment

Selact Committee on Assassinations LJ Termination (At close of business on effective date)

_ (IF type of action is an Appointment or Salary. Adjustment, complete the following information.) re

Position Title = Gross Annual Salary -

(If Committee Employee, complete appropriate item below.).. .... =
1. [-] Standing Committee: Staff—[_] Clerical or [_] Professional. -
2
2. [*] Special or Select Committee: Authority-H.-Res,_ 21! _ _-of__“*__Congress.°.

3. [_] Joint Committee.

(If Employee of an Officer of the House,.complete item below.)

Position. Number = ._.If applicable,.Level _

A. certify. that this authorization is..not in: _ violation:. of 5 U.S.C. -3110(b),.- prohibiting» the. employment: of:

relatives. .

(Signature of Authorizing Official)

Henry B. Gonzalez

(Type or print name of Authorizing Official)

Charman

" (Title-If Member, District and State) :

--sAll-appointments and salary. adjustments for employees under: the:House. Classification Act and for- Committee em-.

.. ployees; except those of-the.Committeezon-Appropriations;:the-.Committee-.on. the Budget, and. the Joint: Committees, : must’ cts
“be approved. by the-Committee on House Administration. o9.0..5-' es Pog moe ; Cogs ote 3

_ APPROVED;

an. on “Chairman, Committee on House Administration: Lo

Office of Finance use only:

Office Code

68326 : ees wa,
ii:327299471 Page 5 ;

bet ae ot el pened oe beg tS oe te te Oe ng ewes
Silla bitch ott OSA a Scie BES SecA cu RU RE Soe oR a

Didier hl ad sshanclinw Sacha a “alhtetetets Ll babi meet ac Ait tink Seeded bute ti lecles phaser aR Da iMit vo nishoe leat ulated

a See Sar od tap a vhoch ot gos Bytes a
SCTE VERON Sam PENT CUTER TET? SPS OTE SRE ODE RTT DAUM NEE STENT OAS ADe RCO DLSS CEE ON Sar OS DET TROT RE

ene

“! Gpo 1975 O.- 57-258,

7 (Please Use: Typewriter .
Or Ballpoint Pen).

US. HOUSE OF fF REPRESENTATIVES,
_ ay _ Washington, D.C. 20515

7 : “guttering official. Y
“To the Clerk. of the House of Representatives: | |

a hereby authorize the following payroll action:

* papaya wile (Fish Mule ta

Type of Action
. _D) Appointment |

pe Salery Aaivetnent fe ce 8 AS ye ene ee

ne

nis” notin -yislotion of «

“Chairmen, Committee 0 on nHodse Adminis

id 32239471 Page & opy for Initiating Offic

PAYROLL ‘AUTHORIZATION FORM

- (Please Use Typewriter <*
- 7 “or. Ballpoint Pen)

u

To the Clerk of the House of Representatives:.

&

| hereby authorize the following payroll action:- *)

mete

yeh gs
re,

ae

Se ‘U. s. ‘HOUSE OF: REPRESENTATIVES Sd
we a - Washington:"D.C.°20515 -

“Many erasures, corrections, or changes |
this form must be initialed by the |

“authorizing official.)

Effective Date

Type of Action .

[_] Appointment

-

; / ;
(If Committee Employee, complete appropriate item below.) —

1. [J Standing Committee: Staff—[_] Clerical or[_] Professional.

2. FE] Special or Select-Committee: Authority —H. Res fs

t

3. (] Joint. Committee.
(lf Employee of an Officer of the House, complete item below.)

Position Number___.... If applicable, Level

* relatives.

Tact Cota} thes oF Asses

. All-appointments and salary: adjustments for employees ‘under the House Classification Act and for Committee:em::

- ployees, except those of the Committee on: ‘Appropriations; the Committee on the Budget,-and the Joint= ‘Committees, must -
be approved by the Committee on House Administration.

Step___.

oh

aD Salary Adjustment:

oes
tae
_-_of #3 wn Congress,

(Signature of Authorizing Official}
peodas A. owls

eee wa 1h

(Type or print name of Authorizing Official

- APPROVED:
. C
Office of Finance use only:
Office Code.__________ .
L \ \

or Committee

?

'| Docld:32239471 Page 7

| Termination (At close of business on ‘effective date)

1 certify that this: authorization. is not. in violation of 5 U.S.C. 3110(b), prohibiting the employment of

ate ALES


PAYROLL AUTHORIZATION FORM. ~

* (Please Use Typewriter: 1S _ US. HOUSE OF. REPRESENTATIVES ‘: ar (Any | erasures, corrections, red by the
~ or Ballpoint Pen) a ~ Washington, D.C. 20515 “on this form must be initiale y the

authorizing official.)
To the Clerk of the House of Representatives:
_ : / .
| hereby authorize the following payroll action; -.—. — ON ’

@ Gay Larsa

: (] Appointment

aa Selory Adjustment _

Select Cont ttee on Assassinations

514,003
(If Committee Employee, complete appropriate item below.) ‘ , oo Oo ¢ 7
~ oe O Standing Committee: Staff—L] Clerical or] Professional.
2. £] Special or Select Committee: Authority— H. Res 1540 of AER Congress,
3. LJ Joint Committee.
. tt Employee of an Officer of the House, “complete item below.) -
Position Number... oo If applicable, Level. Step oe
| - ~ | certify that this authorization is not in violation of 5 US.C. 3110(b), prohibiting the employment of
io relatives. - . .
| ‘Date. Decanoer 2° : 1976

iallensiendeatoasiuatenietenlianlantaatententententertenemntententetestenentedeieteteacchs seats

. (Type or print name of f Authorizing Official)

select Committee on Assassinations

- ‘All appointments and salary adjustments for employees under the House Classification Act and for Committee em-'

be approved by the Committee on House Administration. —

: a, APPROVED: : 7

“Office of Finance use only: '

Office Code “

‘ployees, except those ofthe Committee“on Appropriations, the Committee on the Budget, and the Joint Committees, must = «|


ns, or changes
. Tor rst oe initialed by the : oe
authrizng official. yo

. (Please Use Typewrile? y US.
or Ballpoint Pen) _ ae Washington, D.C. 20515

To the Clerk of the House of Representatives:
; b: & G

4 hereby authorize the folowing « payroll action:

Employee Name (First- Middle Last) Effective Date

Billie Gay Larson LS Ogtober 12; 1976

Employee Social Security Number a, Type of Action —

529-60-6414 . oe - - [23 Appointment | a a
Oo Salary Adjustment - - _ - 7 7

Employing Office or Committee :

Select Committee on Assass inations O Termination (At close of business on n effective date)

(e type of action is an Appointment or Salary Adjustment, complete the following information) wos

Position Title *

- Gross Annual Salary

|  Seeretary $15,000
. “(iF Committee Employee, complete oppropriate item below.) oN a 7 - a Sh : Bb, if i

‘1. ] Standing Committee: Staff—- “O Clerical orl] Professional. wo

2) ‘] Special-or Select Committee: Authority— H. Res. 1540 of. 248Congrss. 7

3. [| Joint "Commitee 7 i ; : - - _ a oo Io 1 76 | AY 2 a. A
(LE Employee of an Officer of the House, complete item below) oo . - o ce Her oF R, FINA INCE Ofpiee |

eB bn

_H cpplicoble, | Level_

Position Number

| certify | ‘thot this authorization is “not in violation of 5 USC. 3110, prohibiting the employment of
relatives. ey E : “ g es : nos

— yy we ee ee

“Gignature of Auth

_-‘Thomas N, Downing.

(Type or print name .e of Authorizing OFfcioll a

Chairman
(Title-If Member, District and State):

Oo

Q:

o

O

Q -
nt
rn ©
we HO
os @O

“ hy

a

tS

5

~wJ

o>)

i > AL appointments and salary adjustments for employees under the House Classification Act and for Committee em-

-ployees, axcept those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must .

be. approved by the Committee on House Administration.

“APPROVED:

Jo “Office of Finance use only:

Office Code

: NW, 88226.

: . ; : Ne

MEMORANDUM

TO: “ALL Staff Employees |
FROM: Budget officer
DATE: “ganuary 3, (1977

2 Payroll Certification

‘Starting with the January, 1977 payroll, the certification
to the House Finance Office requires, among other things, the
relationship, if any, of each staff employee to any current
‘Member of Congress (those taking office January 3, (1977).

The ‘following are the relationships to be included in’
“the certification: —

father = oe nephew re brother-in-law
mother © == -——i—é‘CSSs«Csniecle sister-in-law
son a ~ husband a stepfather
. daughter i (sti(<‘CS;!tCWife stepmother
“brother oe father-in-law a -.° gtepbrother
Po sister = mother-in-law > - stepsister
J uncle. ° - son-in-law ~ half-brother
aunt a —.... daughter-in-law 0 -. half-sister
first cousin, 7 . _ ae

‘ALL ‘staff - employees are requested to complete this
form and return it to the Budget officer. _

. “Approved oo
“Richard A. Sprague

“I am not related x Se rn ees cr

a am related by the following relationship. ee oe an

January 10, 1977. s
Po . ee oe —_. Date ae
a Coe et Se oo oe a : : Lone eo, . ee os
| NW 88326 ae a
| Docid:32239471 Page 10 : | oo


‘March 4, 1977

Ms. Billie Gay Larson
‘514 Sixth Street, S.W.
Apt. A | |
“Washington, D.C. 20003

Dear Billie:

Although I am sorry to see you leave this
staff, I fully understand the reasons and think
the position that has been offered you. in the office
of the Speaker of the House is wonderful and on your

behalf I am most happy to seé you move into that
position.

I do want to thank you for all of your efforts
on our behalf. You have not only performed your job
exceedingly well, but you have been a great help to
me personally in many of your comments and suggestions.
Beyond that, I have admired you as a person and have

enjoyed the feeling of closeness and friendship with
you.

Best of wishes to you. I gemain

Sincerely yours,

Richard A. Sprague
Chief Counsel and Director
RAS: elb

“\
AS

ad

| NW 88326 PO rs
| Docld:32239471 Page 11 ;

TT 7
| NW 88326
| Docld:32239471 Page 12

Select Committee on Assassinations
G.&. House of Representatives

3342 HOUSE OFFICE BUILDING, ANNEX 2
WASHINGTON, D.C. 20515

March 2, 1977

Richard A. Sprague
Chief Counsel and Director

Select Committee on Assassinations
Washington, D.C.

Dear Mr. Sprague:

As we discussed today, I have accepted a
position in the Office of the Speaker of the House
effective Monday, March 7.

I would like to convey to you my personal
admiration and feel we are very fortunate to have

a person of your caliber in the service of the
Congress.

Your continued leadership of the investi-

gations is absolutely vital and I wish you every
success.

Respectfully,

i? Billie Gay Larson


NW ash
Docld:32239471 Page 13.

| me | Conye 259 2 of the Euited States Wa ag we TS
oe or ae _ Employment Information Form <0) 0 oe
1. Name. (Last, First, Midsle) CJ Mr. 781 Miss [] Mrs. | 10. Birth date (Month, Day, Yes) 14, Lowest acceptable annual salaey
and Address (Nauher, Street, City, State, and ZIP Code) o mo, 5-19-44 . _ in 13, 600 0
Larson, Billie Gay ; ae Mt. Home State 15, Car of dependents other

| "S14 SExEH SE. SE ABE 5 —— Utah HE

| Washington, D- Cc. z. 200037 12, Height 16. Weight.
i 2 3. Other phone (ncludis a4 “Ares Ced: > | 23. Are Sy yuan States citizen? 17. Social Security Number
| IOA-SY7F~- 3094 |202-JIF- 70 xs aw + | 529-60-6414
“4. Kind nd of “Job you a you are applying for: , CEO MITE? 4} 18. Skills - a . Lo :
|‘secretarial, ‘research, clerk | 0% Typing 75 om "py Shorthand 80. .,

ae ene a nr en : . (To be considered for positions involving typing or shoréeband, znplic ants
5. Term of Employment: 2) Full Tine [) Summer must undergo tests administered either by the Placement OY ice or “by ‘the U.S.

boo ’ Ky Civil Service Commission, Ij the latter ts 8 ved, tach f BE
6. WIL you accept temporary employment? C[] Ne within the past 12-months, ie rather yea, 4 “ Notice of Rat i a ted

17. Will you accept part-time eo - D Yes ie oO Office equipment (specify): race

‘ 8. When will you be availat be available? -20— 76 7 a Computer: a) Terminal Operator, £) Programmer, oO Systems Analyst

— (State expertise with specifi systems, languages, and components. })

_Inches _

2. Home phone Cincluding « Area Cade)

f 9. Are you prescatly tly employed bye the U.S, Senate, the USS. House of Represent: Ae
tives, or other office of the Congress? 0 Yes [{X No .

i 1D. List eligible ratings attained on U.S. Civil Service Commission examinations, titles of examinations and dates of ratings. .

76

B 20. bid you: graduate from. high school, or will you graduate within the next nine months? ii Yes O) No

ee TE cant A A

. arte number of classroom hours of instruction per week, certificates, and any other pertinent data.

Supervisory Development Seminar _ a errs
_Forenoe. rasuronce Company = (one week seminar, spring +75),

COURSES STUDIED | CREDITS COMPLETED Grade-Point
Average on

+ 22, A. Name and location - (City and. State) of

(University of Utah hist. |phil. J 190 — 7 |. "69 _

B,. Chief undergraduate college subjects . . st . Cc. Chief graduate college subjects - -. } Semester | Quarter

activities, and in_professi rs nd apa Vip societies.)
Oo

Awarded sc
ment and extracurricular activities. Current membership in Sierra

Club and.Common Cause.

23. Other languages. (Show. proficiency in speaking, writing, and reading.) 24. Dates of military service, if any. _ From: . Tor
read some French and Spanish pranch: NA | Rank: Serial Nor
Answer the following questions. (if you answer" res” to any of these questions, give all pertinent details in Itert 28: . oe 7 | YES | NO

4 25. Have you been convicted of any “offense against ‘the law or forfeited collateral or are you now under charges for any ofense against the law? xX
; (Omit all traffic violations and any offense committed prior to your 2151 birthday which was finally adj: udicated in Juvenile court or under a

Youth Offender Law, Devceseeeeerneceeerensceeeseescanrsenseceecteesa senses egec ee seen sees e see eeee ee Geese Set Tes St TTT ere

26. While in the mili tary service, were you w convicted by general court: martial or ‘discharged under other than honorable conditions? cokes: .. oe ae
§ 27. Does the U.S. Govenment employ in a civilian capacity any relative of yours (by blood or marriage) ? . : mo a ° ae x a
; Uf your answer is CYes,”" list in tent 28 for each relative: [1] full mame; [2] relationship; and (3) department, agency. ‘or ‘office. ) : ve WY.
: 28. Space for detailed answers. Indicate Nema number to which answers apply. Pe ie ted Do Not Wereite In This Block | i
| Item No. . SO , Q- 37-74. fe TEST RESULTS _

L| Nancy L. Larson TYPING: sa W.P.M. ON A 5 MINUTE TEST

2| sister _ a ee
[3 | Office of Guam _ co 1 Ww wea, 7 ennons

Federal Building
San Francisco, CA

_OTHER TEST
~ SCORES:.

VERIFIED BY: fee ! pare: 4/a/2e.

yr rane ADDRESS: JOINT CoMMITTEE ON CONGRESSIONAL OPERATIONS
Or FICE OF PLACEMENT AND OFFICE MANAGEMENT :
. 1. WASHINGTON, D.C. 203515 ; :

iy uyyeAR AY HIGHEST GRADE CO} mal
“Course emphasis: OX Academic, - g Business, () Other (specify) debate ’ journal’ ism drama HIST GRADE COMPLETED

2h. Training ‘schools attended (for example, business, vocational, armed forces; or trade). Give for each the name and Jocation of school, dates attended, subiects | -

| Aree . Tyee of Year of j
colleges or universities attended. : Major Minor | Semester | Quarter A; 0 Scale F “From Degree | Degree

CREDITS COMPLETED |

§ D. Special achievements and awards. (Provk de all scholastic achievements and honors end show participation in extracurricular, civic, community and similar |

arship to University of Utah based on academic achieve-

SHORTHAND: 80 em, ON A MINUTE TEST

f 30. FULL- TIME Employment (Lit Mou Recent Experience First.) |

i Na ame of immediate supervisor ‘

“Atea Ce Code and Phone No., if known: AST 9302 1&0

| May inquiry be made of your present employer regarding your character, qualifications, and record of employment? ~ a Yes aE No
a

4 Reason for wanting to leave

[Description of work DIL rected onETact and Tieensing activities betwee ato? and
fits agents in 12 western states. _Develope ed new ped new filing and recor’ keep-|
ling systems; wrote department manual. _Superv |

a Dates of employment Moventl, year) _ | Exact title of position _ Salar ,
a S arting $e
i. From D472 7 2/73 Executive Secretary (|MOw eg 625. |

Name of immediate supervisor . . Name of employer (firm, organization, etc.) and address (i: ucluding ZIP. Code, if | known) 7)

_| Harold Kramer,- President | ae Gelestial Arts Publising

| Adri an Boag, a
; Area Code and Phone No., if known 4 15 / 6 ) 2- “50 U 3 nut ree

| Reason forleaving moved from San Bruno to Moraga (approx. 35 miles From SEETES)
| Description of work Handled all correspondence for President/owner. Responsible

| Description of work Prepared legal documents and correspon ndence for senior _pa rtne

| Reason forleaving§ end of Mr. Hansen' Ss term of OF Fics

. ~~ Describe Employment Experience On This Form. . - (A résumé is not a a substitute for this form and will not be made a part of the

application, if more.than 2 pages.)

29. PART. TIME And SUMMIE RE mploy ment During The Last Three Years.

Name of Employer

Position and Duties

on pm

Annual Salary

; 650
Starting $5: ha
mo. .. ; 0.
Present $_________

Exact title of position

SUPpeLrVvisor .

Dates of employment (month, sear)

; From 3/75

To presmerrtit6 / 7 5

Name of employer (firm, organization, etc.) and address (including 2 ZIP Cade, if bn oun) |
Foremost Insurance Company

100 Wiget. Lane
Walnut Creek, CA

.Tom Edwards

ised 5.

_| Annual Salary : E007

for distribution of new products and product info. to national mktg. |
staff. Reviewed material submitted for pub. consideration.

Exact title of position / Annual Sslary $ 435 . |
6/71 Legal Secretary °

mo. Leaving $__—- 500. hd
Navi SE Tay oie On ane n, aena a (Taw (ine, qs em) Code, # known)
800 atte cfends Bank Building
| Area Code and Phone No., if known Salt Lake City, Utah” ‘s
f Reason for leaving moved from UV EA ' CO aliftornia ©

a A RN A A A A

Dates of employment (month, year) _
From 4 / 7 0

} Name of immediate supervisor

aakerd ly Stoddard

Responsible for ordering all office supplies used by staff of 22.

| [Dates of employment (m0nth,- year) a ~ | Exact ttle of position ; ‘| Annual Salary $ 385 . mo
4 4, : — tes . : . tee tarting ee
Letom. 1/65. p 1-69 -- | Legal Secreta cy | MOS ving s 425.

Name ‘of immediate supervisor Name of. Fete fr, ogo %, etc.) and address (including ZIP Code, if kr: oun)
Attorney General Phil L. Hansen a Fic ef che sheen ° General”
t Lake CL

ys Xt

Area Code and Phone No., if known

Description of work  ASSigned primarily to criminal division for preparation OF
Pp (eadings, briefs and corres ondence. Also substituted for _receptioni

| an d on telephone des

; ;
31. REFERENCES, List threc persons who are NOE related to you and who have definite know ledge of your qualifications and fitness for the position for which
you are applying. Do NOT repeat names of supervisors listed under Items 29 and 30, : ;

P T I N ;
RESENT BUSINESS OR HO} iF ADDRESS. BUSINESS OR OCCUPATION.

“Fun. NAME : (Number, Sireet, City, State, and ZIP Codey °- - ,

Byron L. Fisher, Esq. yabian & abouayont es Attorney -.
David Hinds | 763 Sixth Ave | oblishine
| oe | Redwood City, "CA 94163 | publishing
“Rob EL. Hartesty ~~ 601 Colorado Street" Agso. Deputy,
er artesty Austin, TX 78701 Ahange LLB oU-
_ 2 5° sustin
CERTIFICATION _ SIGNATURE (Sign in ink) _ OE SIGNED
‘ $1 CERTIFY that all of the staterncnts made in this ten | , ; 9/13 /76

and in any attachment are true, comp! lete, and correct to WA ’ Wa LB
° “cnowledge and belief, and are made in pood faith. 7 q ;
fi

Docld: 239471 Page’ 14 oo. , U.S. GOVERNMENT PRINTING OFFICE £1976 0 - 70-086 : . = re * >

| Docld:32239471 ‘Page 15__

“a

te
ot.
5)
a”

| Employment Information Form

1. Name (Last, First, Middle) Se Mr. 3 Miss [] Mrs. | 10. Birth date (Meuth, Day, Yes) 14. Lowest acceptable annual salary

and Address (Newzber, Street, City, State, and ZIP Code) a _ 5-19-44 . 7 . in a ict ieis
. a e
Larson, Billie Gay . Oo (TE Home State

——“S1 7 SixEN SED SE Apt. A utah

ASE FOR ALIVE IPP. 18, Skills

4, “4, Kind of of job you are applying for:

6. Will you accept temporary employment? 3 Yes [] No oo . Ce ihe pone 1? mouths i the Matter i “eds each Netee a Reting dated

9. Are you presently employed by the U.S. Senate, the U.S. House of Represeata-

State expertise with b specific system's, languages, and components. }
tives, or other office of the Congress? (J Yes (X No ; . ; :

1. List eligible ratings attained on U.S. Civil Service Commission examinations, titles of examinations and dates of ratings.

20. Did you graduate from high school, or will you graduate withia the next nine months?. {4 Yes “DOO No

studied, number of, classroom hours of instruction per week, certificates, and any other pertinent data.

Supervisory Development Seminar . a a
-Foremost Insurance Company — (one week seminar, : spring 175) :
Grand nd_Rapids , Michigan a CT ee es

. re Grade-Point Dates : :
. A. Name and location (City and State) of COURSES STUDIED © CREDITS COMPLETED Average on Attended ‘Type of Year of
From ezree exree

_ Colleges o or universities atten - Major 4.0 Scale a
hist. 62 6% 9|BS |'69

phil fT 190 J
| -—E tt ft
C. Chief rte subjects _ Quarter

CREDITS | os TED

B. Chief undergraduate ‘college subjects Semester Quarter

ID. Special achievements and awards. (Provide all scholastic achievements and honors and show participation in extracurricular, civic, community and similar | -

activities, any "4 ree oes nd sciegtific societies. )

warded
‘ment and extracurricular activities. — Current membership in Sierra -

Club and.Common Cause.

1 23. Other languages. (Show proficiency in speaking, writing, and reading.) 24. Dates of military service, if any. From: ; To:
read some French and Spanish Branch: NA Rank: - Seriat Nor
Answer the following qvestions. af you answer “Yes” to any of these questions, give ail pertinent details in Len 28:) a ; ce, . YES | NO

: { 25. Have you been convicted of any “offense against ‘the Jaw oz forfeited collateral or are “you now under char es for dny offense apainst the law? a. a

(Omit all sider violations and any offense committed prior to your 21st birthday which was finally adjs icated in juvenile court or under a

Youth Offender La.) ..cccccceeecren ee er ec nese ee en crea tsar te sere saera ser eses ne ee ene err
‘f 26. While in the mi ilitacy service, were you convicted by general court- temartial or “discharged under other than honorable conditions? . o Levees . a 5
} 27. Does the U.S. Goven:ment employ in a civilian capacity any relative of yours (by blood or marriage) ? oe . a = an — —
: Cf your answer is “Yes,” list ia Item 28 for each relative: (1) full name; {2} relationship; and G3) department, agency, or + office.) »— : YUM.
: 28. Space for detailed answers. Indicate Item number to which answers apply. "Peles, vied 7 Do Not Write In This Block © !
0 a a TEST RESULTS :
: wes. ON A 5 MINUTE TEST

1 WPM, 1 ERRORS)

SHORTHAND: 0 W.P.M. ‘ON A 3 MINUTE eet]

OTHER TEST
SCORES:.

VERIFIED BY:

TING ADDRESS: .  Joinr COMMITTEE ON CONGRESSIONAL. OPERATIONS
“NW 88 wali ; _ OFFICE OF PLACEMENT AND OFFICE MANAGEMENT
. : : WASHINGYON, D.C, 20515 on ca

| Conge guess of the Cited States

15. Number of dependents other J |

_ Washington, De Cc. 20003" | a2, Height Do wee 16. Weight
ee ee "Bn 6 tan op OU _
2. Home phone Cncloding Area Code) | 3. Other phone (including Ares Cod. | 13. Are you a United. States citizen? | 17. Social Security Number: _
(0A-SY7- 304 be) ~- IIE “AA 906 Nive ONo 529-60-6414

secretarial, research, clerk a 0% Typing — 75 vom pg Shorthand 80 nn,
TT. ; . aes (fo be considered tor ositions involving. bypin borthand, plicant
5. Term of Employment: XY Full Time ( Summer ‘ must undergo tests adm i bipetios either by ibe fees ‘by the US.

7. Will you accept part-time employment? ue O Yes LX No [7] Office equipment (specify) a
8. When will you be available? . —o- 20- / 6 : (] Computer: Terminal Operator: oO Programmer, : oO Systems Analyst

Course emphasis: & Academic, ( Business, (€] Other (specify) debate, journals een Of drama HIGHEST GRADE COMPLETED]

use emp i AERARS 2 JV Eo
21. Training schools attended (Jor example, business, vocational, arvied forces, or trade). Give for each the name and’ location of school, dates attended, subjects

CREDITS .COMPLETED ]

arship. to University of Utah based on academic achieve-|


i)
$

ow de. »  . Describe Employment Experience On This Form. © (A résumé is not a substits 1046 this form and will not. tbe made a part of the
- ~ rere application, if more than 2 pages.)

29. PART-TIME And SUMMER Employment During ‘The Last Three Years.

Name of Emp foyer $ . Saks : Position and Duties

Dates of exaployment an th, year) Tg title of position Annual Salary € 650.
} 3. upervisor. Starting $_-G. 5-4,
From : 3 /7 5 os To presmerrene6 /7 5 : coe : . mo. Present $_ 810 _

Name of employer (jirm, organization, etc.) and address Cineluding ZIP Code, if known)

| Tom Edwards | oo - ‘Foremost ‘hanes Company:

i. iget Lane
[Area Co Code and Phone No., if known ras 934= 10: ; Wa Inut Cre ek, CA

j | May inguity be made of your present employer segarding your character, qualifications, and record of canployment? . ix Yes | No

* - -° f Name of immediate supervisor

f Reason for wanting to leave ;
a | Description of work Di rected € Ontrack and Ticensing ine ACCLVIELSS peEWweer Co. ana
pec |. lits agents in 12 western states. Developed new Filing and record —
| Ving “systems; wrote rote department manual. - Supervised 5.

Dates of employment (month, year) Exact‘ttle of - position

ae 5/720 2/73 Executive Secretary

A 1 Sat no |
wml hey, 600.

mo.
Leaving $. 6. 2 >
Name of employer (firm, organization, ete.) and address (Gineluding ZIP Code, if know a

Harold Kramer,. ggen Celestial Arts Publising _

Adrian Road
| Area Code and Phone No.. if known 415] 692- i é3tii¢ Cree A

[Reason forleaving moved from San Bruno to Moraga (approx. 35 miles From aPEtEE)
| Description of wok Handled all correspondence dence for oo Presideat/owner. Responsible |

for: distribution of new products and product info. to national mktg.

staff. Reviewed material submitted for pub. consideration.
Dates of employment. (month, year) Exact title of position :
6/71

} Annual Sale any 7435.
¥rom “4/70 Legal Secretary

ng $a 4
oe mo. Leaving §___—- 500.
| Name of immediate supervisor . | Name of employer gras ade ete.) and oases | (ine ding Hy” Code, ifkncwn) Anown)
nford My" Stoddard | Fabian’ &"CTendénin’ (
— peaakeeesy 800 Continental Bank Building:
Salt Lake. City> Utah

alifornia™

| Arca Code and Phone No., if known

| Reason for leaving moved £LOin U cs 1 Co

| Description of work Prepared legal documents and corr espondence Fo for Senior partne|
| Responsible £ for or_ordering all office supplies used by s staff of 22.

Annual Salary

Starting a —————
O; Leaving $s ;
t, ete. ) and address Uneluding ZIP Code, if Ax own)

From

| Name of immediate supervisor ,

i

f

Exact title of position

eet secretary

[Dates of employment (month, year)

“1/65 1.69

From.

Y Name of immediate supervisor Name of. EF oyer (firm, ae :
Attorney General Phil Le Hans n- 8 fice pf ne > beabey © General
a ake o 1 ity >

| Arca Code and Phone No., if known

| Reason for leaving end.of Mr. Hansen’ s term of office,

| Description of work  ASSigned primarily to criminal division for “preparation of
| Pleadings, briefs and corres spondence. Also substituted for receptioni
“and on telephone. desk.

ane on te repnone “dese
[ 31. REFERENCES. List three persons who are NOY related to you and who have definite: knowledge ¢ of your qualifications and fitness for the position for which
you are applying. Do NOT repeat names of supervisors listed under Items 29 and 30.

' PRESENT BUSINESS OR HOME ADDRESS
(Neamber, Street, City, State, and ZUP Code)

Fabia & Clen enin
(see 2, above

“763 Sixth Ave. _
Redwood City, CA. 94163

“60L Colorado Street
Austin, TX 78701

SIGNATURE (Sign in ink)

“BULL NAME BUSINESS OR OCCUPATION |

Byron L. f Fisher, SG. Attorney

David Hinds publishing _

bane Siete

“DATE SIGNED

~ 9/13/76.

| RoberE L. om

CERTIFICATION _

iy CE RTIFY that all of the statesncnts made in this f
fand in ar ny attachment are true, complete, and correct to th
tows -f —-- Unowledye and belief, and are made in pood faith.

Docldi32239471 Page 16 Fe CGeERRGUERY PRINTING OFFICE!

976 O - 7O-S86

rom eee

L Name (Last, First, Middle)

CO) Me. Da Miss oO Mrs. | }0. Birth cate (Month, Day, Year), ) 14. Lowest acceptable annual salary
and Address (Number, Sircet, City, State and ZIP Code) | ; 5- 19-44 © : in peste FOG Vay :
; ; Larson t Billie Gay Cc ae 7 . Heine State = os OP une of dependents other
~—~514 Sixth St. SE Apt. A Utah ~ mae 0. |
= Washington. D. » Gc. . 20003" 12. Height oe P16. Weight
= : : ; Se 5 Feet _ 6 Inches oo 110
. Home phone Unelading Area Code) » Other phone Cnclusivg Ares Cod, 13. Are you 2 United States citizen? VW, Social. S: Security Number
| 202-5 YF 30 i 2b) IIE 4 706 XH ves No 529-60-6414
: wa 4. Kind of of job you are pees for: - 4 c CR FAT Y FP 18. Skills
secretarial, research, clerk 0% Typing - “TS son "pg Shorthand _ 80 UL.
os a To be considered it Tring re bh hand, cpa alice
ean Term of Employment: & Full Time €) Summer , Oe ae dergo tests heey actions neo rine e pas td by nae us,
AG. Wil! you. accept temporary employment? Ss Yes [J] No Cisil Service Commission. If (ie fener ” nied, assach Notice of Rating dated

i 7. Will you accept part-time en

tives, or other office of the Congress?

Course emphasis: XA Academic,

Ls. When will you be available? —20—7 6

E 9. Are you presently employed by ti the U.S. Senate, the Uz 5. House of Represeats-
O) Yes: ;

_* wD. List elisible ratings attained on U.S. Civil Service Commission examinations, titles of examinations and dates of ratings.

. : 20. Did you.graduate from high school, or will you graduate within the next nine months?
i C2 Business,

eas

Congress of the Enited States a eye PE

Employment Information Form ~

within the past 12 months.) ,
((] Office equipment (specify)

(L] Computer: (0 Terminal Operator, (] Programmer, 0 Systems Analyst
(State expertise with specific system, danguages, and components. ) ob

tO Yes DXNo

ees

(X No

(J Other specify) © debate ,

studied, number of classroom hours of

colleges or universities attended,

University of £ Utah

tan me BUNA Ih

B, Chief undergraduate

i} ; elivits es, end in_ professional and scie.
food, Awarded schol

|. f+ ment and extracu
| ee Club and.Common

; [| 23. Other languages.
read some French

Youth Offender Law, Jeseceweeee seaee

Cf your answer is “Yes,"’ list in Item
Sa eS hahaa

f Item No.

1 Nance
2; sister
3

NW 88 he" ING ADTIR ESS:

Docld:32239471 Page 17 —

Supervisory Development Seminar
Foremost Insurance Company —
- Grand Rapids, Michigan

. A. Name and location (City and State) of

college subjects

arsni

(Show proficiency in speaking, writing, and reading.)

and

: “Answer the following questions. CU? you answer "Yes" to any ob these “questions, give all pertinent desails in Item 282).

“E25. Have you “heen convicted of any ‘offense against the law Or forfeited collateral or are you now under charges for any offense’ against the law? xX
j (Omit all brafie violations and any, offense committed prior to your 2181 birthday which was finally adjudicated in fuvenile court or under a

b 25. While in the military service, were you convicted by general court: roartial or “discharged under other than honorabte conditions? _ fees veaee

$27. Does the U.S. Govenroeat’ employ ina civilian capacity any relative of yours (by blood or marriage)? >

instmiction per week, certificates, and any other pertinent data.

Major i
“Hist. phil.
a

CREDITS COMPLET ‘ED

62 | 69 "69

Semester Quarter

Semester Quarter C. Chief graduate college » subjects ~

YD. Special achievements and awards. (Provide all scholastic achievements and honors and show participation in extracurritular, civic, eoinmunit and similar |
’ “ys f

‘University of Utah based on academic aie

tific sore )

re outar activities. |
Cause.

Current membership: in Sierra.

24. Dates of military service, if any.
Branch: Rank:

From: : Tor...

Spanish Serial No.:

cr a ar ee a i ie a i ee Se

28 for each relative: [1} full name; [2] relationship, and (3) department, agen ey. ‘or “office. )

| 28. Space for detailed answers. Indicate Item number to which answers apply. Peket ind 2 Do Not Write In This Block *

Qo o. 7 te ey TEST RESULTS. -

L. Larson TYPING: _ c ___W.P.M. ON A 5 MINUTE TEST
Office of Guam os Ge 1 WPM, . 2 ensors
Federal Building - a — :
San Francisco, CA _ SHORTHAND: <7 W.P.M. ON A 3 MINUTE rst |

__ OTHER TEST ee et Re

~ SCORES:
ma yf

veririep py: LAW fe pare: 4/a/2s

JOINT COMMITTEE ON CONGRESSIONAL OPERATIONS
OFFICE OF PLACEMENT AND OFFICE MANAGEMENT
oS WASHINGTON, D.C. 20515

CaEDTA
oa Yes “56x —
journal tens drama. HIGHEST GRADE. COMPLETED|

f 21. Training schools attended (for exar: ple, business, vocational, armed forces, or 5, or trad2). Give for each the name and location of school, dates attended, subjects ‘

(one week seminar, spring '75)
are Grade-Point . Dzt oe 5
COURSES STUDIED | CREDITS COMPLETED Grade Po At ade a_| type of | Year of |
Quarter 4.0 Scale From | - To catee | Degree |

CREDITS COMPLETED |

YES | No |

7, caueenaenet

. {730. FULL-TIME [mployment. (hs Most Recent Experience First.)

: Area Code and Phone No., if known E57 934> 10

May it inquiry be made of your present employer regarding your character, qualifications, and record of employment? —~ bd Yes aa No

PP taee 5L72 2/73

| Name of immediate supervisor .

Area Code and Phone No., if known ra ls) / 6 ) 2= 500 a |
| Reason for kaving moved from San Bruno to Moraga (approx. 35 miles “FF SEFICS)

! Name of wed SUPCEVISOL

eee ord My Stoddard |

; I Ai Area Code and Phone N No., if known

Reason for leaving roves sa from Ut v £a fi C

Name of immediate supervisor

| Area Code and Phone No., if known _

[Reason for leaving end of Mr. Hansen's term « of of fix office
[Description of work Assigned primarily to criminal division for pref éparation OF

31, REFERENCES. List three persons who are NOT related to you and who have definite knowledge of your qualifications and fitness for the position for w hich

Describe E mployment Experience’ On This Yorm. -. (A résumé is not a substitute fox this form and will, not. be made 2 part of the

application, if more than 2 pages.)

29. PART: TIME And SUMMER Employ ment ouine the Last Three Years.

Name of Employer

Position and Duties

Annual Salary 6 5 9) . ~

- Starting $
mo.

Dates of employment (month, year)

3/75 > wr reesnecnnts6 /75
f Name of immediate supervisor ' :

Tom Edwards

Exact tide of position

Supervisor —

From Present sa

Name of employer lnm, organization, efc.) and address (including ZLP Code, if known)
Foremost Insurance Company —

100 Wiget Lane.
Walnut Creek, CA

f Reason for wanting to leave

| Description of work Directed ¢ ner act and Licensing activites peTtwee a Co. and

(jits agents in 12 western states. Developed new ed new filing and record keep
ting systems; wrote department manual.

_ Su ervised 5.

Exact title of position

Dates of employment Aimonth, year) Annual Salacy Oo 600 .

mo. Starting $=
. . Leaving ¢ 625.
Name of employer (firm, orgaitization, ete.) and address (including ZIP Code, if Anown) ;

Gerestial Arts Publising .
f2tnedte an Roady a

Executive Secretary

_ Harold Kramer, . President -

| Description of work Handled all correspondence for President/owner. Responsible

_for distribution of new products and product info. to national mkteg.

_staff. Reviewed material submitted for pub. consideration. .
Dates of employment (month, year) Exact title of position ; Annual. Selary “435.

. From 4/70 oe To 6i7t - mo }mo. vesting #5 OC 500.

Nap abian lil Ol ote ETE (tay (incfeding en) Code, if Anoun) .
800 Continental. Bank Building — a
Salt Lake City, Utah oe .

ah to California’ _

Legal Secretary

ecease

.@)

Exact title of position.

Legal Secretaty

‘ Dates: of caployment (month, year)

From. 1/65 - ~ To 1.69 7

Teowal Salary 3 85.

Starting $_-- nee

Leaving $

Name of employer (fir7, organi 7, ete. i) and address Caen x ZIP Code, if kn oun)

Attorney General Phil L. Hans mn Bait fake ihe Nae Genera

ety >

pleadings, briefs and correspondence. Also substituted for. rece reception
and on telep hone..desk.

you are applying. Do NOT repeat names of supervisors listed under Items 29 and 30,

PRESENT BUSINESS OR HOME ADDRESS ~

; “Fuu. NAME 7 : oe (Namber, Street, City, State, and ZIP Code) ; BUSINESS OR OCCUPATION
Byron L. Fisher, Esq. . fabian & Clendenin . | Attorney ...
“David Hinds | a 763 Sixth Av ee ee

7 7 a Redwood City, CA 94163 publishing |
Robert by “Hartesty ~~ -601l Colorado street” | SO jeputy..
fo yo Bustin, OTK 78701 a el [br Yu.
: . | Tex $$ stin’
CERTIFICATION SIGNATURE (Sign in ink) x” . : : _— . .. DATE SIGNED
I CERTIFY that: all of the statements made in this f , ne ce
} and in any attachment are tme, complete, and correct to the Le ‘he var : a 9/13/76
hace nf mw bnowledge and belief, ‘and are made in good. faith, . os _
Decid 32239471 Page 1a ; - - , : ; . U.S. GOVERNMENT PRINTING OFFICE £1975 0 - 70-986. Le Bo a a - z : ;

| “ OS - ; Congress of the Cited States — Lo es.

Pos é
Employment Information Forin
. Name (Last, First, Middle) CO Mr. 38) Miss C) Mrs. | 10. Birth date (Month, Day, Year) 1. Lowest a annual salary
and Address (Nuuber, Street, City, State, and ZIP Code). 5-19-44 e sg Ge €

Larson, Billie Gay | oo PH sie

_ _ aia ee ; 1s. Nur aes of <7 other

—$i4 8. Sixth St. SE Apt. A ° . Utah =... “than self g.
ashington , D- . 20003 | . 2, Height De 16, Weight

° te 5 Feet ; “6 Inches : ’ : . ‘110 :

4 ~ Other phone (inclu ding ee 1. Are you a United States citizen? - | 27. Social Security Number
| (Wa SUT + 36 3099 2b.) ~ IDS -ATVO Nive ono | 529-60-6414

“4, Kind of of Job yo you area wage gpl ng for: h, C RATA TET “7 18. Skills : .
Secretarial, researc clerk ph Typing. 75 ym, sontnna 8 80 on.

(To be considered for positions involving typing er shorthand, ehplicants
must undergo tests administered either by the Placement Office or ‘by ‘the US.

Home phone (incl: ding Area fA?

15. Term of Employment: — Full Time (€} Summer

; Sn aS Stat tis th -
f 9. Are you presently employed by the U.S. Senate, the U.S. House of Represents { ; e expertise ws specif © systems, langue #504. and cansponents. ) -

_ tives, or other office of the Congress? [1] Yes (X No

a ‘19. List elizible ratings wuained on U. S. Civil Secvi ice Commission exami ‘gations, ‘titles ofc examinations and dates of ratings.

i Yes

§ 20. Did you graduate from high school, or will you graduate within the next nine months?

; studigd, number of classroom hours of instruction per week, certificates, and any other pertinent data.

Supervisory Development Seminar

Foremost Insurance Company _ os fone week ; seminar, spring '75) |
Grand Rapids Michigan se
: G Point | Rank Dates -
22. A. Name and location (City and State) of : COURSES STUDIED CREDITS COMPE, ETED Grade Poin in _-Attedel Type of | Year of

. colleges or universities atten , Major _ Minor Quarter 4.0 Scale’ | Class From egeen | Dexres |
jUniversit y of | Utah hist. 2.4 (62 | 69 BS ['69 |

C. Chief graduate college subjects

\

CREDITS COMPLETED !

CREDITS COMPLETED

‘ ’ B. Chief under ‘ptaduate college subjects | . Sernesterc
——

Po | | a |
D, Special achievements and awards. (Provide all scholastic achievements and honors and show purticipation in extracs srricular, civic, coutmunity and similar |
ectitities, end in ares nd sciegtific societizs.)

Awarded

Semester Quarter

i | Club and. Common Cause.

| 23. Other languages. (Show proficiency in. meee writing, and reading.) 24. Dates of military service, if any. © From: : _ Tor -
| read some French and Spanish Branch: NAS Rank: Seriat No:
4 Answer the ¢ following questions. Cf you answer "Yes" fo any of these questions, give all pertinent details in Item 28.) _ re NO

| 25. Have: you been convicted of any ‘offense against the law or forfeited collateral or are you now under charges for any “offense against the law? X.
(Omir all , crepe violations and any offense committed prior to your 21st birthday which was finally adjudicated in juvenile court or under a

Youth Offender Law.) .ccccccccwcec cece cn cntecsenenenecsr cere eeseneeneeanssaasearerercctseseugsesecescessassascaarsece ss deter eeee
25, While in the military service, were you convicted by general court- tmartial Or “discharged under other than honorable conditions? «. ve eeaes a a a
27. Does the U.S. Govenment employ in a civilian capacity any relative of yours (by blood or marriage)? - - ane aon '
= GLE
(If your answer is *Yes,"? list in Mem 28 for each relative: [1] full name; (2) relationship; and (3) department, agency, or office. yy . DWI:
28. Space for detailed answers. Indicate Item number to which answers apply.: Pabeted . Do Not Write In This Block * i
i - oe Ee ED
[item No.| 47 0 . Gare 2 TEST RESULTS
L| Nancy L. Larson TYPING: 44 __ W.P.M. ON AS MINUTE TEST

2 sister. _
3| Office of Guam _ an ne ran an Ve we, ZL enons)
Federal Building a .

OTHER TEST. 002 0
SCORES: —______

ae .
VERIFIED BY: phi Le fig DATE: ves Aloe

MAILING ADDRESS: _ Sony COMMITTEE ON CONGRESSIONAL OPERATIONS
NW BeseG OFFICE OF PLACEMENT ANDO OFFICE MANAGEMENT

. WASHINGTON, D.C. 2y5i5

Docld:32239471 Page 19

RG. Will you accept temporary employment? 3 Yes (J No Che the paar ro mouths ii the fatter is used, atach No fice of Rating dated
. 47. Will you accept part- -time employment?’ DD Yes. EXNo ~ Cy Office equipment (specify) - ce :
f 8. When will you be available? 9- 20— oo . = ‘(] Computer: [ Terminal Operator, C1 Programmer,’ a Systems Analyst :

EAR i
Course emphasis: EK Academic, - {1 Business, []) Other 4 (specify) debate ? journalt “SMG drama. HIGHEST GRADE COMPEETED |

21. Training schools attended (for example, business, vocational, armed forces, or trade). Give for each the name and location of school,.dates a tended, subj ts j
ee

arship to University of Utah based on academic achieve-] |
ment and extracurricular activities. Current membership in Sierra. ]

| —San Francisco, CA | SHORTHAND: £0 W.P.M. HON AS TE ES

Describe Employment Experience On This Form. (A résumé is not a substitute for this form and will not. be made s a part of the
co aon application, if more than 2 pages.)

“39. PART- TIME And SUMMER Empfoyment During The Last Three Years.

Dates

Nanie of E moployer

“"-" position and Duties

650.

Anoual Salary —

Exact tile of position 5
Starting §.
mo.

Supervisor

Dates of eraployment (month, pear) os
Fon 3/75 . = %o parsers /75

, Name of iramediate supervisoz: *

Present $-

Nanie of employer (firm, organization, etc.) and address (including ZIP Cede, if hnow —
Foremost Insurance Company

Tom Edwards . pee 100 West F
on a . 1ge ane
"ft Area Code and Phone ne No., if known ty 157934 1400 Wa lnu rere ek, CA

f May inquiry be made of your present employer regarding your character, qualifications, and récord of employment? “ ba Yes O No

| Reason for for wanting to leave --

| Description of work DiFeEted contract and licensing ACEI Vities be eaeen Os and-

fits agents in 12 western states. Developed new filing and record Keep
ling systems; wrote department manual. _Supervised. 5.

Exact title of position
© 2/73, Executive Secretary —

Anaual Salay .° 600.
nual Sa 600

mo. oO
. Leaving $. 6 25.
Name of employer (firm, organization, ete, } and. address Gncluding ZIP Code, if. now 2)

Geregtial Arts Publising oh
rian ca ae _ :
[Area Code and Phone No., if known ; - 6 ned re ek da -

| Reason for leaving moved from San Bruno to Moraga (approx. 35 miles from SFEISS)
| Description of wok Handled all correspondence for President/owner. Responsible

for yx distribution of new products and product info. to national mktg.

“staff, Reviewed material submitted for pub consideration,
Dates of employment (#onth, year) ,

Annual Salary 435 . ;
stom 4/70 6/71 a

Starting $
| Neme ¢ immediate Soper

— jmo. Leaving § 500.
qn: ford. My Stoddard

Dates of employment (monte, rear)

[> Irom 5/72

From _

i Name of immediate supervisor

Harold a

Exact title of position

eat Secretary —

anny ayer Germ as anisctigny ces) and Psy ficfadis mi) Code, if bn. en)
de cease ;

. “Fa Continental Bank Building
oe | Azca Code and Phone No. if known

Salt Lake City, Utah. | ; =
| Reason for leaving : “moved from UES EO — ;

alifornia=

Exact title of position

Legal Secretary

Dates of employment (month, sear) , _
. 1/65 oo : To 7 1.69 Leaving $

Name of immediate supervisor Name of rete (firm, e” essai, ble. -) and address alae ZIP Code, if known)
Attorney General Phil L. Hans n 83 reck pt yhe SbRER General
ait Lake ‘(Gity,

| Annual Salacy 385 .

5: Starting B75 _

From.

B Area Code and Phone No., if known

| Reason for leaving end of Mr. Hansen's term SF office

| Description of work ASSigned primarily to criminal division for a For preparations oF

| pleadings, briefs and correspondence. _ Also substituted for receptioni
| and on telephone ‘desk. |

31, REFERENCES: List three persons who are NOT selated to you and who have definite knowledge of your qualifications and fitness for the position for which,
you are applying. Do NOT repeat names of supery isors listed under Items 29 and 30.

_ PRESENT BUSINESS OR HOME ADDRESS
. re Street, City, State, and ZIP Code)

fabiay: & Clend enin

“PULL ‘NAME BUSINESS OR OCCUPATION

pa . yon DT L. Fisher, Esq:

Attorney — - |

(see ove
|} David Hinds 763 Sis ae th Av To.
ja Redwood City, CA 94163 publishing
“Robert L. Hartest “| 601 Colorado Stree So.
oper ber Barvesty Austin, TX 78701 ite oR.
Austin’ ni
. CERTIFICATION - , . BAS SIGNED

iI CERTIFY that all of the staternents made in this: f
H and in any attachment are true, complete, and correct to

Nef (Sign in ink)
Bhace af =m Unowledge and belief, and are made in good faith. 7 Nhl

Declhd 132239471 Page 20. : | 7 - oe oe U.S. GOVERNMERT PRINTING OFFICE !

conane

1876 O = 10-886 |

oc OO ongress of the Cnited States UP Bg he

- Employment Information Form |

14, Lowest acceptable annual salary

P60"

15. Number of dependents other
-” than self :

| Name (Last, First, Aliddle) O Mr. 2} Miss OMe.
and Address (Number, Sircet, City, State, and ZIP Code): 5B LO- A4

7 Larson, Billie Gay - Coe 11. “U1. Home State
Re aeton boee e000 a ee _Utab
Washington. D. Cc. 20003" :

10. Birth date (Month, Day, Year)

. Weight

See ee on eee 6 Inches. _ 110
. Hare ae (including Area Code) . Other phone (ireluding Areg Codi 13. Are you a » United States citizen? “27. Social Security Number
Qa SY-7- 3099 209 -DI ae XI Yes (No 529-60-6414 —
. “4, Kind of job you are applying for: SX FOR AAI F- 18, Skills a. _
secretarial, research, clerk “(Typing 75. wpm. pg Shorthand — 80. vipm.

8 5. Term of Employment: a Full Time [ Summer.
G6. Will you accept temporary employment? % Yes {J No
7. Will you ‘accept ae employment? OO Yes (XNo

§ 8. When will you be avzilable? . O— 20-7 6

9, Are you presently employed by the U.S. Senate, the U.S. House of Represeata-
tives, or other office of the Congress? (1. Yes (X No

(To be considered for positions invalsing typing er shorthand, epplicanis
must undergo tests administer ed either by the Placement “Office or ‘by the U.S.
Citi! Service. Commission. If the latter is used, attach Notice of Rating dit ed
within the past 12 months.) .— -

WY Office equipment (specify) —

(State expertise with shecific systems, fanguages,. and compor ents.) oo *

19, List eligible ratings attained on U.S. Civil Service Commission examinations, titles of examinations and dates of ratings.

EAR drama HIGHESY GRADE COMPLETED

Course emphasis:, EX Academic, 0) Business, [) Other (specify). debate, ’ journal? TEN

f 21. Training schools attended (for example, business, vocational, armed forces, or trade). Give for cach the name and Iycation of school, dates attended, esublects
studied, number of classroom hours of instruction per week, certificates, and any other pertinent data. a oO am

Supervisory Development Seminar Pe Be anni re
Foremost Insurance Company = "(one week seminar, spring. "75)-
Grand Rapids, Michigan :

Dates

IRSES TE Grade-Point | Rank _
A. Name and location (City and State) of | COURSES STUDIED | CREDITS COMPLETED Average on in Attended | Type of
* colleges ot universities atten ; Major Minor Scrnester Quarter 4.0 Scale From | To _ Degree
lIniversity of Utah —|hist. |phil. 2.7 io2 | 69 IBS

CREDITS COMPLETED |

CREDITS COMPLETEL ED

— er Quarter

§ D. Special achievernents and awards. (Provide all scholastic a and boners: and. show purticipation in extracurricular, - civic, community and similar §
og rities, and it 4 ees ad sciegtific societies.)

warded arship to University of Utah based on academic achieve-!
ment and extracurricular activities. . Current membership in Sierra
Club and.Common Cause.

| 23. Other languages. (Show proficiency in speaking, writing, and reading.)

read some French and Spanis

B.. Chief undergraduate college subjects C. Chief graduate college subjects - Semester Quarter

24. Dates of military service, if any.. “From: o> Tor:
Branch: “Bankr “Serial No.: -

Answer the following questions. af you answer "Yes" to any of these questions, give all Pertinent Getails in Wem 28.).0 0 YES

(Omit al! trafic violations and any offense committed prior to your 21st birthday which was finally adjuds cated in Juvenile court. or under a
Youth Offender Law.) ...csssssceecreeereceetececeeeren scene See ocr set eeees eee tee

f 26. While in the military service, were you convicted by gene recall court- raastial or “discharged under other than honorable conditions?, ween eee eee

f 25. Have you been convicted of any offense against ‘the law or forfeited collateral or are you now “ander charges: for any ‘offense against the law? i

27. Does the U.S. Govenment employ in a civilian capacity any relative of yours (by blood of marriage)? - :
(If your answer is Yes,” list in lem 28 for each relative: (1) full name; [2] relationship; and (3) dep: ariment, agency, or - office. y
Pekeied Do Not Write In This Block °
Ge7-2% apy TEST RESULTS
TYPING: W. P. M. ON A 5 MINUTE TEST .-

¥ 28. Space for detailed answers. Indicate Item number to which answers apply.
| Item No.

ean Nancy _L. Larson

2 sister 7 :
3 Office of Guam ae a, Z_. enon)

“San Francisco

a SHORTHAND: FO _1 W.P. M. ON A 3 MINUTE pa |

OTHER TEST ou a
SCORES: ee

VERIFIED BY: “gas LF pate: 4 cle

; FATTER ATIINO EGG. JoINT COMMITTEE ON CONGRESSIONAL OPERATIONS
NW astze! _ - _ OFFICE OF OO Ne AND OFFICE MANAGEME NT :

Docld:327239471 Page WA WASHINGYON, D.C. 20515

[J] Computer: {) Terminal Operator, (Q Programmer, Systems Analyst :

f 20. Did you graduate from high school, or will you graduate within the next nine months? ~ [Yes St p No 2

WZ

’-. Describe Employment Experience On This Form. (A résumé is not a substitute for this form and will not. tbe made a ‘part of the
“ : ae application, if more than 2 pages.)

29. PART-TIME And SUMMER Employment Ding ‘The Last Three Years.

"Name of Employer

Position and Duties

30. FULL "TIME Employment. (List Mou Recent Experience First.)

650.

= Dates of eraployment (month, year) : oo Ext title of position . Annual gslary ‘
jt: upervisor tarting $
From ~ 3 /7 5 To muserernnes6 /7 5 : mo. Present $_ ~~

Name of caployer (firm, organization, etc.) and address (ineluding i ZIP Code, if bnown)

Tom Edwards = . “s _ Foremost ipaugsnce COMPANY
— 1eet Lane
: “Area Co Area Code and PI and Phone No., if known No., if known aamy 934 =100 Walnu ree re ek, CA

: May inquiry be “May inquity be made of your present of your present employer regarding your character, qualifications, and record of employment? — ER Yes — Cj No

f Name of immediate supervisor '

“f Reason for wanting to leave

9s P Description of work Directed contract and licensing activities between Co. and
ss |. fits agents in 12 western states. Developed new filing. and record Keep:
oo | o. fing systems; wrote department manual. Supervised 5.

- | Annual Salary - ' 600.

. * 7 we | Dates. of employment (month, year) "| Exact title of position Salar
; en : : arting $.——
BP rm 5/72 | 2/73 | Executive Secretary |MO- ns 625.
Name of immediate supervisor . . | Name of employer (firm, organization, ete.) and address. (including ZIP Code, if know my ;
Harold Kramer, President _ a Ge restia) Arts Pup hs ing -
| Adri an Roady ee ae
of _Area Code and Phone No., if known ~ et 3 nut ree A
PReasoa for leaving moved from San noone to ») Moraga (approx. 35 niles “From SFFTCE j

| Description of work Handled all correspondence for President/o wner.- Responsible

. ay os 49- 35.
mo ° Leaving $= 200.

Sage Leper grag ene ae and (tay (inc]e peda ny Code, if known) _
| 800 Continental Bank Building — ae
Arca Code and Phone No., if known Sa 1 C La ke City, ? Utah oo cS

| | Reason for leaving moved £LO u aH £6 aLirornia- ~ ~~
| Description of wok Prepared Vtegal ‘documents and correspondence ‘for senior yr parte

Exact title of position . | Annual Salary

Legal Secretary —

Dates a employment (month, year)
trom 4/70

§ Name of immediate supervisor

aaeendely Seodtara

6/71

Responsible for fox _ordev ing all office su pplies | used by staff of 22.
Annual Salary 3 85

Exact title of position

[Dates of employment (month, year) ;

‘ . a Co o Sates § $F 55—-—
From. «. 1/65 a To -: 1. 69 Legal Secreta cy © 5 caving $_—__——___—__—
°: f Name of immediate supervisor Name of EE oyer (firm, orn #, ett. rm) and address Gncbading ZIP Code, if ke soupy
, Attorney. General Phil L. Hansen Ba Fi ce pf nue > Be ane? | General
a Co ake Vity,

_. | Area Code and Phone No., if known
[Reason for leaving end of Mr. Hansen’ s term of office

‘| Description of wok  AsSSigned primarily to criminal division for preparation of

pleadings, briefs and correspondence. Also substituted for ‘reception:
and on telephone desk.

31, REFERENCES: List three persons who. are NOT related. to you and who have definite knowledge of your «qualifications and fitness for the position for which,
; you are applying. Do NOT repeat names of supervisors listed under Items 29 and 30. oo a

_ PRESENT BUSINESS OR HOME ADDRESS.
ae Street, City, State, and ZIP Code)

_ “FULL NAME BUSINESS OR OCCUPATION

Byron L. Fisher, Esq. Fabia & akacn enin Attorney. _
_ oo (se ne 7 a
David Hinds = . 763 Sixth Av ~ f blishine
~s | Redwood City, “CA 941.63 pupets nae ms
“Robert CL. Hartesty | 601 Colorado Stre  |AgSo- Pep
i rere yo vO Austin, TX 78701 — ee bangeL ibe,
. _ eC
Do CERTIFICATION : [SIGNATURE (Sign in ink) 7 ss |e 8 DATE SIGNED. a
1 CERTIEY that all of the statements made in this f , a a, a ee ee en
and in any atlachment are true, complete, and correct to - Lh. « Ze (St sy ty _ 9/13/76 : |
tert -f —-- “nowledge and helief, and are made in good faith, <7 * aa (7 vo , :

_ — ~ ‘

_Docid 32239471 Page 22 Lo , . UL 8, GOVERNMENT PRINTING OFFICE £1976 0 - 7e-988 . ,

far


oe 4

gree ho Sarit er re
veo. Congress of (he Enited States re
oe a * Employment Information Form - ae
1. Name (Last, First, Middle) . Ol Me. 38) Miss O Mrs. 10. Birth date “(Aonth, Das, Year) 14. Lowest acceptable annual salary
and Address (Nasmsber, Street, City, State, and ZIP Code). = : _ 5-19- -44 - 7 in 3" 608
Larson, Billie Gay ae PT Bme site iS Number of dapendcnts lhe

* than self 7 Oo .

—sS14 Sixth St. SE Apt. A. ~ . Utah_
Washington, De ° Cc. 20003 Pa. Height _

16. Weight

110
17. Social Security Number:

529-60-6414

— 6 nae! Z
. Other phone { (nel ne An Cod: 13, Are you a United States citizen?
254.9 ~ IIS - oly ae 38 Yes. 1 No

FES FOR APATITE V8. Skills

w 2. Home ne (in “Cincladin 1g Area Cade)
(0a-SY7~ 304

“4, Kind of job you are wT. for:

(secretarial, research, clerk pf typing 79. 75 wa Ba Shorthand — 80. 80 am
i a (To be considered for positions involving typing or sh orskand, 2p yd, applicant
j 3. Term of Employment: J) Full Time [ Summer must undergo tests administered either by the Placement leah Or “by the us,
a ” r P, 2, us : at
Ve Will gow necept tempo jou wecept tamporay employment? cooployment? Wy a Yo DO No = CER tbe past 1 monshs. if the tat ter Bs fied, allay -b Notice of Rating da teat
a7. Wall you accept part-time employment? = [J Yes Fy Yes EXNo ([] Office equipment (specify):

7 8. When will yo you be available? comm J- 20-76 , 0 Computer: (3 Terminal Operator, 0 Progranimer, oO Systems Analyst ;

~— (State expertise with b specie system 5, anguage 4 ang com, ponents. )

- 7 y, Are you presently employed by the U.S. Senate, the USS. House of Represeata-
tives, or other office of the Congress? (1 Yes (X No

ree ee ee rere ence renee nen cae nee eh A Se ee te ee tt RPE A

H 19, List elixible ratings attained on U.S. Civit-Service Commission examiastions, titles of examinations and dates of ratings.

tne rattan en pene tA Ce
f 20. Did you. graduate from high school, or will you graduate withia the next nine months? ft Yes fe 0 No : ;
eAR HIGHEST GRADE COMPLETED)
Course emphasis: £X Academic, - ( Business, . (] Other (specify) debate ra journal Si drama :

studied, number of classroom hours of instruction per week, certificates, and any other pertinent, cata.

“Supervisory Development Seminar en oo :
Foremost Insurance Company  _ fone week ‘seminar, spring '75)
Grand Rapids Michigan. a :
Grade-Point | Rank}. Dat
. A. Name and ‘location (City @ and State) of. . CREDITS COMPLETED Gade oun Ran ee ‘Type of | Year of
colleges or universities atten Minor Semester Quarter 4.0 Scale. | Class [romY To | Dssre® | Pesree

ie Svea 60 (5S 16S”

CREDITS .COMPLETED |

B. Chief undergraduate college subjects Semester Quarter

D, Special achievements and awards. (Provide ull scholastic achievements and honors and. show psrticipstion in extracurricular, civic, community end similar f
ate 25, aN ag prleits ra nd scieptific societies.)

Awar arship to University of Utah based on academic achieve-}
ment aa scholarship tov activities. : Current membership in Sierra |

Club and Common Cause.

| 23. Other languages. (Show proficiency in seks writing, and reading.) 24. Dates of military service, if any. _ From: To:.
read some French and Spanish Branch: NA Rank: Serial No-:
; / } Answer the following questions. Cf you answer "Yes" to any of these questions, give all bertinent details in Item 282}... . a vee |. YES | NO
f 25. Have | you bees convicted of any offense against ‘the law or forfeited collateral or are you now under charges for any “offense against the law? . : xX .
(Omit cll trafic violations and any offense committed prior to your 21st birthday which was finally, adjudicated je quvenile court or under a :
- Youth Offender Law, | ees Dance ce ence tenes e ene nee net eee ee manson eee ses a eeee eens
f 26. While in the military service, were you convicted by general court: martial or “discharged under other than honorabte conditions? wee adeeccees “. . 6
27. Does the U.S. Govenment employ in a civilian capacity any relative of yours (by blood or marriage) ? : ee
ge Baey “uy
: Cf your answer is Yes,” list in Hem 28 for eack relative: (1) full mame; [2] relationship; and (3) department, agency, or office. )- : |
28. Space for detailed answers. Indicate Iter number to which answers apply. Poke ted ; Do Not Write In This. Block ©
4 a en CC ICES IE TE 7 : .
jItem Not = 4 Q°QF 7a. an TEST RESULTS
Nancy L. Larson . TYPING: W.P.M. ON A 5 MINUTE TEST

sister .
Office of Guam
Federal Building
San Francisco

ae Oe. W.PM., 7 _ ERRORS)
seine £0 —vowcoons meg |

_ OTHER TEST ~
SCORES: _

ee verano; AP LEE pare: Aialae

TAT ATYIND Joint COMMITTEE ON CONGRESSIONAL OPERATIONS
NW ag iel ESS: co OFFICE OF PLACEMENT ANO OFFICE MANAGEMENT

Docld:32239471 Page 73 WASHINGTON, D.C. 20515

: :

__ourse emp y GEVAabe, JVM See
I 21. Training schools attended (for example, business, vocational, armed forces, or trade). Give for each the name and location of school, dates attended, subjects

'.. Describe ° Employment Experience On This Form. (A résumé is nota substitute for this formn and will not. be made a a part of the
en application, if more than 2 pages.) .

29. PART-LIME And SUMMER E mploy ment curing The Last Three Years.

Name of Employer

Position and Duties

Exact title of position

“Supervisor

Dates of employment (month, year) . .
dem 3/75 _ To PR passmeraits6 /75

; Name of immediate supervisor. *

a s tarting $i, Sie
-|mo. SLOT
: Present $__.---_.-—-

Name of employer (fm, organization, etc.) and address (iacluding ZIP Code, if kn vown)

| Tom Edwards _ a Forenost insurance Company
- . | Area Code and Phone No., if known LS T93G=100 . Wa Inu tPere ck. CA _ ,

_ # May inquiry be.made of your present employer regarding your character, qualifications, and record of employment? ~~ _ x Yes ia No

H Reason for wanting to leave | :

- 2. | Description of work Directed CONEYaCE and Licensing ACELVIELES “petween Cov and
— fits < agents in 12 western states. Developed n new filing. and record Keep"

wrote department manual. _Supervised 5.
Exact title of position

‘Executive Secretary”

Annual Sday 600.
Starting $_

mo . Leaviag $: 625.

Dates s of employment Amonth, rear)

5/72. 2/73

| Name of immediate supervisor.

From’

Name of employer (frm, organization, ete.) and address (including ZIP Code, if known) |

| Harold Kramer, President _ geregtial Arts Publising — 7
. _Area Code and Phone No., if known vifknown 4157) 6 92- is ett nut re ek da i a Oe : oe es
| Reason for leaving moved from San Bruno to ) Moraga (approx. 35 miles from office)

| Description of wok Handled all correspondence for President/owner. Responsible
| for distribution of new products and product info. to national |_mktg.__
_staff£. Reviewed material submitted for pub. consideration.
; Annual Salary 435 .

; Starting $=
moO. Leaving $_—— 500. ©

Nope eee ire C{teRe énin” (law {inc} qi 18 em) coe, ” brown)

ecease 800 Continental Bank Building
[is Sede Hone -» if known Salt. Lake City, Utah.

I Res A | 1 €6 California” |

Dates of employment (month, year) Exact title of position

Room’ (4/70 : a 6/71

§ Name of immediate superior

fe nford M Stoddard |

Legal Secretary —

Annual Salary 385 .

Dates of employment (month, year) Exact title of position

. OO : a - Starting $- . ==
rom LAOS 9. ay. 1.69 Legal Secretary TO 5 ving § 4250
§ Name of immediate supervisor « ° Name of comer (firm, ope efc. ) and address Gneliasl, ing ZIP Code, if Er oun)
Attorney General Phil L. Hansen 83 ice nhe >be ey General
. C Pale oALY .

; | Arca Code and Phone No., if kaown ce .
~ 4 Reason for leaving . end of Mr. Hansen's term. SF office.

|Decision of wok Assigned primarily to criminal division for preparation oF”
pleadings, briefs and correspondence ._ Also substituted for receptioni
and on telephone desk.

| 31. REFERENCES: List three persons who are NOT related to you and who have definite knowledge of your qualifications and fitness for the position for which.
: you are ¢ applying. Do NOT repeat names of supervisors listed under Items 29 and 30, _ .

“t

- PRESENT BUSINESS OR HOME ADDRESS
ain Street, City, State, aud ZIP Code)

Fabian Tendenin
(Gee 3 -above) ~

763 a th Ave
Redwood City, “CA 94163

“60l Colorado Street : gs : 7
Austin, TX 78701 oo a Snel fee ey
GRAS AOE iH

DATE SIGNED

SIGNATU E (Sign in ink) _
9/13/76

“FUL L NAME BUSINESS OR OCCUPATION

“Byron L. Fist Fisher, Esq.

Attorney

David ifinds ‘publishing —

os Le Trareesty

CERTIFICA TION
I CERTIFY that all of the statements made’ in this fq
f and in any attachment are true, complete, and correct to
I hect af my knowledge and belief, ‘and are made in good faith.

Docld 32239471 Page 24

NT PHINTING OFFICH 5 2976 O - 70-988) -

UL 8S. GOVERNAE

- Congres 8 of E the Cnited States ap Pre,
Employment Information Form re ae

10. Birth date (Month, Day, Year) 14, Lowest accepts able annual salary

. Name (Lest, First, Middle) O Me 39 Miss [] Mrs.

-and Address (Nuwber, Street, City, State, and ZIP Code) 5-19-44. oe in oe T3" G6G
{ Larson .- Billie ‘Gay © 11. Home State ee - 1s. Nae of depen of dependents other
51 A Sixth St. SE Apt. A Utah oo : 7 t an selt 0
Washington ? D - Cc. 20003 . Height . ts ; 16. Weight
Le | a i TLS raw 6 totes 110
Home phone (inela Tne Area Code) 13. Are you a United States citizen? 17. Social Security (Number. . -

. Other phone (sueluding aif Con

(ba 5Y7~ 304 - 30 U 20) -I6- 290

4, | Kind of of Job you you are ap pee are applying for: Cr: ; m2 oe
secretarial, research, clerk

cern gn i rn

e 5. Term of Employment: - Full Time (] Summer

BG. WIL you accept ‘te mporary employment? % Yes [] No
; 7. Will you accept part- -time employment? O Yes tENo

; : 8. When will you be available? 9- 20-716

BO. Are you presently employed by the U.S, Senate, the U.S. House ise OF | Represent:
tives, or other. office of the Congress? [ Yes _ (X No

2 Yes OO No -. | 529-60-6414

18, Skills - . ; ; 80
(4 Typing -—-—-4£ = 7 45 wpm, ‘ By “Shorthand OM wpm.
(To be considered for positions involving typing or shorthand, applicants
must undergo tests administered either by ihe Placement Office or hy ‘the US.
Civil Service Comuniision. If the latter is used, attach Notice of Rating ds ited
within the past 22 months.) ;

{[] Ofice equipment (specify) |

(Q Computer: [} Terminal Operator, ( Programmer, im Systems Analyst |
(State expertise with specific systems, languages, and compone emtsey

1 19, List eligible. ratings attained on U.S. Civit Service Commission examinations, titles of examinations and dates of ratings.

: 20. Did you graduate from high’ school, or will you graduate within the next ning months? m4 Yes Cane raeaae wel “fO No eee
ONTE RAR HIGHEST GRADE COMPLETED
Course emphasis: EX Academic, - O] Business, [) Other (specify) debate ’ 3 ournalT dra ma : ‘

Training schools attended (for example, business, vocational, armed forces, or trade). Give for each the name and location of school, dates attended, su
* studied, number of classroom hours of instruction per week, certificates, and any other pertinent. data. ;

‘Supervisory Development Seminar ee ee Ola}
Foremost Insurance Company  — ~ .. (one week seminar, spring 75)
Grand Rapids Michigan _ _ oa ve

COURSES STUDIED CREDITS COMPLETED Grade Point

. A, Name and location - city and State) of —- “I Average on DB
colleges of universities atten ~ Minor Semester Quarter 4.0 Scale From [To SRIEE

Gngeesies of Utah __ ise pnt, «TSO | 2.7 62 {69 [BS ['69 |
- a a oe =
pL | a —_— | t.

CREDITS COMPLETED CREDITS .COMPLETED

Dates _
Attended Type of Year of

B, Chief undergraduate college subjects Semester Quarter Semester Quarter

PD. Special achievements and awards. (Provide all scholastic achievements and honors and show purticipation in extracurricular, civic, community aad similar
ae nihies, cg in profeepre {a sciegtific societizs.) i
~ Awarded scholarship. to_ University of Utah based on academic achieve-|

“ment and extracurricular activities. Current membership in Sierra
Club and.Common Cause.

23. Other languages. (Sheu proficiency in speaking, writing, and reading.) 24. Dates of military service, if aay. From: _. Tor

read some French and Spanish | Branch: NA = Rank: Serial Nous

C. Chief graduate college subjects”

eee te etter
fF Answer the following questions. fy you answer "Yes" to any of these questions, give all Pertinent details in Item 282).

f 25. Have you been convicted of any offense against the law or forfeited collateral or are you now under charges for any offense ag zainst the law?
; (Omit all traffic violations and any offense commilicd prior to your 21st birthday which was finally adjs udicated in juvenile court or under a
Youth Offender LE) cence cece cece nee ener en eran cree erene ee eeees rer ree eee eee Tere ree eee eer sere et eens

¢ 26, While in the military service, were you convicted by general court-martial or “discharged under other than honorable conditions?...... La eeee _

27. Does the U.S. Govenment employ in a civilian capacity any-relative of yours (by blood of marriage) ? ?
Cf your answer is Yes,” list in Item 28 for each relative: (1) full name; [2} relationship; and (3) department, GReney, or office. )

Do Not Write In This Block 7

i 25, Space for detailed answers. Indicate Item number to which answers apply. Peles,

Ttem No. ~ . q- ee. - “7 X TEST RESULTS

a L Nancy L. Larson . TYPING: ML ____. W.P. M. ON A 5! ‘MINUTE TEST
2{ sister . .

__ 3] Office of Guam TT Je. W.P.M, Lie ERRORS)
Federal Buildin

“San Francisco CA | SHORTHAND: 0 _ WPM. ONA3 MINUTE cesT

OTHER TEST .
SCORES: 2

VeRIFicD By: AY fi.

ae

ATTINGG ATTY: RESS: Join, COMMITTEE ON CONGRESSIONAL OPERATIONS
NW 88 aah 6 OFFICE OF PLACEMENT AND OFFICE MANAGEMENT

WASHINGTON, D.C. 20515
Docld:32239471 Page 25

eae |

30. 30. FULL: TIME Employment. (List Mos Recent Experience First.)

 { Name of immediate supervisor ”

‘(its agents in 12% 12 western states. Developed new ed new filing ing. and record keep-

4 Reason for leaving moved fxr UE 1 CO alifornia

{Responsible £ for or_erder ine. all office supplies used by staff of 22.

| Reason for leaving end of Mr. Hansen s term_oj S term oF eo FFice

Decid 39239401 . Page 26. i Be , _ : u. s. GOVERNADNT PRINTING OFFICE !

Describe Employment Experience On This Form. (A résumé is ‘nota substitute for this form and will not be made a part of the

application, if more than 2 pages.)
29. PART-TIMI And SUMMER Employment During The Last Three Years. )

‘Name of Employer

Position and Duties

Exact title of position

. Annual Salary —- 6 5 0.
Supervisor |

‘Starting $
mo «

Dates of ernployment (mont b, year)

V For 3/75

To PRESERAT-TEMEO / 7 5

~ Present $.__-_--_

Name. of employer (firm, organization, etc.) and address (including ZIP Code, if Anown),
Foremost Insurance company

| Tom Edwards ca a yoremost In
m __ Lge ane
y Ate “Area Code and Phone No., if known 415 /934 T400 Wa lnu teCreek >: CA

i “May inquiry be made of your present employer regarding your character, qualifications, and record of employment? Bd Yes a No

‘ Reason for wanting to leave

| Description of work yirected contract ct and Licensing ACTIVITIES between Cot ana

systems; wrote 2 deparmnent. manual. - Sup

Dates of employment Arnon: 9 year) Exact title of position -

From 3/72. Executive Secretary

f Name of immediate supervisor .

a,

ervised 5.

Annual Saucy : 600 .
Starting $ -

mo °. Leaving $ 62 >a

Name of employer (frm, organization, etc.) and address (7: acluding ZIP Code, if know ™)

Celestial Arts Publising
eet eg Adrian Road, - bea
f Area Code and Phone No., if knowa ainut ree

| Reason for leaving moved from San Bruno to ) Moraga (approx. 35 miles from STTES)
| Description of work Handled all correspondence for President/owner. Responsible |

_ for distribution of new products and product info. to national mktg.

~ staff. Reviewed material submitted for pub. consideration.

Annual Salary a 3 5.

Starting $= =
mo. Leaving $= 500.

NR ee Gar age ae and ee (ine, ding Eh Code, if know: a)
800 Continental Bank Building —
Salt Lake City, Utah : Sa

President oe

Dates of employment (month, year) Exact title of position -

| From 4/70 To 6/71 _ :

4 Name of jmmnedinte supervisor

aeeea Sed) Stoddard |

Legal Secretary

f “Area Code and Phone No., if known

| Description of work Prepared lepat documents and corre spondence For. senior pa artne

Dates of employment (month, year) Exact title of position Annual Salary : 385.
. . : _ - Starting $_ Dane
From L/65 To 168" Legal Secretary | weaving § 425.
Name of immediate supervisor Name of EE oyer (firm, re” “Laogemt,y eb. ) and address including ZIP Code, if kr: oun) :
Attorney General Phil L. Hans n 8G Fi °f pf che sai ake? General
alt Lake City,

f Arca Code and Phone No., if known ;

| Description of wok  ASSigned primarily to criminal division for preparation of
pleadings, briefs and correspondence: ___Also_subs substituted for receptioni
and o on telephone “desk.

31, REFERENCES: List three persons who are NOT related to you and who have ‘definite knowledge of your qualifications and fitness for the position for which,
you are applying. De-NOT repeat names of supervisors listed under Items 29 and 30. ;

- PRESENT BUSINESS OR HOME ADDRESS —
_(Naniber, Street, City, State, and ZIP Code) —

Fablag &, & Bases

“FULL NAME BUSINESS OR OCCUPATION ,

Byron L. Fisher, Esq. Attorney...

763 Sixth Av
Redwood City, “CA 94163 | :
“601 Colorado street”
Austin, TX 78701

David Hinds

; os publishing |
[Robert tC. HaREEaTy

ane cot fBr

AOE GU

; CERTIFICATION SIGNATURE. (Sign in ik) . RAS SIGNED
| I CERTIFY that. all. of the statements made in this fiftm a
and in any attachment are true, complete, and carrect to ; 9/13/7 6

hect af mu knowledge and belief, and are made in good faith.

1976 O.- 70-986 *

Docld:32239471 Page 27:

Employment Information Form

10. Birth date (Mouth, Day, Year) 14. Lowest accepts ble annual salary

1. Name (Last, First, Middle) - OO Me 34 Miss OF Mrs.

i ech . . . in specific
and Addcess (Nanzher, Street, City, State, and ZIP Code) _ ees oe -'s 13, ravexe)
_ Larson ? ‘Billie Gay : 11. Home State Se . : : | us. thar sel of dependents other
51a Sixth St. SE Apt. A Utah_ cep mE OO
___Washington, D. _C. 20003" fiz Height 16. Weight Te
5 ren © tne f BLO
23, Are you 2 United States citizen? = fs-17. Social Security Number.

2. Home phone Cnclading Area Gode} . Other phone (includ ding “Area Cod.
| IOA-5Y7F- 3044 20.2 - IE - ee

14 4, Kind of of jo job you are ap yo ge appv for: SE FOR AIA hid ;
| secretaria esearch, e. clerk

: 5. Term of Employment: % Full Time ©) Summer
£ 6. “WII! you accept temporary employment? ; ee Ye O O "No
, 7. Will you accept part-time employment? - " T Yes EXNo

Ig. When will you be available? 9-20-76

p 8. When with You be ayaa
f 9. Are you presently employed by the U.S. Senate, the U.S. House of Represeats-
tives, or other office of the Congress? [] Yes (X No

XO Yes No 529-609-6414 | a
18, Skills , .
80

~ (&% Typing -———-_L = 5 wpm, _ By Shorthand:____ = wpm.
(To be considered for posttions involving typing or shorthand, applicants
must undergo tests ad imuinistered either by the Placement Offee or by ‘the U.S.
Cierl Service Commiision. If th e batter is wed, attéch Notice of Rating « dated
within the past 12 months. ). ; /

{[] Office. equipment (specify)

“( Computer: Terminal Operator, ( Peogrammer, 1 Systems Analyst |
(State expertise with 4 specife sy stems, languages, and gomponents. ) mae

F 1D. List eligible ratings attained on U.S. Civil Service Commission examinations, titles of examinations and dates of ratings. .

) 20. Did you graduate from high school, or will, you graduate within the next nine months? . (1 No

aPieny dr HIGHEST GRADE
Course emphasis: ix Academic, (4 Business, [] Other (specify) debate, journali isn drama ST GRADE COMPLETED

21. Training schools attended (for example, business, vocational, armed forces, or trade), Give for each the name and location of school, dates attended, subjects
studied, number of classroom hours of instruction per week, certificates, and any other pectinent data. ;

Supervisory Development Seminar cee eg eran -
. Foremost Insurance Company | ma . {one week seminar, spring 75)
Grand Rapids, Michigan a :

ne Grade. Point
. A. Name and location (City and State) of COURSES STUDIED CREDITS COMPLETED Average on

” colleges or universities atten

J _ SE Minor Semester Quarter a 0 =
Tee Svea ae le ,
: ———
| ee a _

CREDITS COMPLETED

“Dates

O °

B. Chief undergraduate college subjects Semester Quarter Semester Quarter

He
Oo:
i)
fom
3
oy
Ks]
of
[<9
a
o
we
*
a
a
°
=
tJ
a
a
2
o
g
a
QO
ing

1D. Special achievements and awards, (Provide all scholastic achievertents and honors and show purticipation in extracurricular, civic, community and similar

activities, ane 4 prelen Fe nd sciegtific societizs.)

Awarded

Club and.Common Cause.

23. Other languages. (Show proficiency in speaking, writing, and reading.) 24. Dates = military service, if any. From: , So Tor oe
read some French and Spanish Branch: NA Rank: | Serial Now: |
) Answer the following questions. Cf you answer "Yes" to any of these questions, give all pertinent detatls in litem 28. Yeo, | YES | NO

A 25. Have you been “convicted of any ‘offense against the law or forfeited “collatera? or are you now under charees for any , offense against the law? xX ;
_ (Omir al? trafic violations and any- offense committed prior to your 21st birthday which was finally adjudicated in fuvenile.court or under a .

Youth Offen [ae 01s a ee ea been ace e cece tener nee e ance se eee b ease ee een ere ems eee enesine eet eteeeee .

1 26. While in. the military service, were you convicted by general court: moastial or “discharged under other than honorable conditions?.

27. Does the U.S. Govenroent employ in a civilian capacity any relative of yours (by blood or marriage)? oo
(If your answer is Y¥es,"" litt in lem 28 for each relative: (1) full name; [2] relationship; and (3) department, agency, or office. y A,
Retrying -, Do Not Write In This Block *

a : TEST RESULTS. fc
rns? 20 ON A 5 MINUTE TEST

| 28. Space for detailed answers. Indicate Item number to which answers apply.

f Item No.

(CLE. 1 wat, Tenors)

San Francisco

OTHER TEST
SCORES:

VERIFIED BY: Abu “uy L fe

MAITING ADDRESS: . Jone COMMITTEE ON CONGRESSIONAL OPERATIONS
; NW Be326 - OFFICE OF PLACEMENT AND OFFICE MANAGEMENT —

WASHINGTON, D.c. 20515

Congress of he Cuited States ee ee

Mya 2/02 | 7 - — Z ;

es of | Year of |
Desree }

CREDITS COMPLETED J >

arship. to University of ‘Utah based on academic achieve-]
ment and “extracurricular activities. - Current. membership’ in Sierra .

SHORTHAND: 7 W. P. M. ‘ON A 3 MINUTE TET

i:

Docld{32239471 Page 28.

_f Name of immediate supervisor

| Area Code and Phone No., if known Ze T5 / 6 ) 2- “50

- “Area Code and Phone No.,- if known

_ Describe Employment Experience On This Form. (At résumé is not a substitute for this form and will not. st be made a a part of the

application, if more than 2 pages.)

SUMMER Employ ment During The Last Three Years.

29. PART-VIME And
Name of Emptoyer Dates Salary .

Position and Duties

Starting — 30
mo.. 810.

Present $_—_

bet title of position -

Supervisor |

Dates of employment (month, year) ;
. From 3 / 75 (Fo PRESEMMTEMEO / 75

f Name of immediate supervisor *

Annual Selaty

Name of employer (firm, organization, efc.) and address (including ‘ZIP Code, if know a)

: Tom Edwards oo ce Voremost thane Sompany..
I so 7 iget Lane a
p Ar Area Code and Phone No., if known “FAY 4157 G34 ~T400 Walnu Fee re ek, CA-

: May inquiry | inquiry be be made of of your Present et ‘ent employer regarding your character, qualifications, and record of employment? . x Yes yi No

;
# Reason for wanting to leave

~ P Description of work “Directed contract and TICeUSINg activities be EWeeH cor and

fits agents in 12 western states. Developed new filing and xecord Kkeep=

systems; wrote department manual. Supervised 5.
Dates of employment (month, year) . .

TF Exact title of position
5/72. gg 2173

A 1 Sals f
moa gy, 600.

mo ST
° Leaving $. 6 25 *
Name of employer (firm, organization, etc.) and address (including ZIP Cede, if énown).

531 Adria Arts Publising
2 tne’ r an Road, Bee) eI oe
| Reason forlaving moved £rom San Bruno to Moraga (approx. 35 miles from SEEIEE)

j Description of work Handled all correspondence for FE President owner. +_Responsibte

Executive | Secretary |

/ From

Harold Kramer, President

staff. Reviewed material submitted for ub. consideration.
. 435.

Exact title of position Annual Salary
L 1 Ss t . Starting §. >

egal Secre ary. MO» jcoving #900.
(ise (ineheding Fy Code, if | if Enowi)

Nie ab TaN fren apenien ae, rare
800 Continental Bank Building — ae
ae Lake Gity, Utah

| Besson © for eee : moved trom veal Eo Ail LOrnia

Dates of employment (aonth, year) .
From 4/70 - a To. 6/71

} Name of immediate supervisor

aeeek ged) © Stoddard

Exact title of position |

| [Dates of employment (mont, year)

| Annual Salary 3 8 5.

. . oe _ ae Starting $__.. pe,
‘From. - 1/65. To. - 1 ° 69 Lega L Secreta 0; Leaving $ pte
Name of immediate supervisor Name of ort oyer (firm, organs: : 4, wie.) and address (including ZIP Code, if bs noun)
Attorney General Phil. L. “Hans n Bale f of he a Pepeane General.
a ct Lake (City;

| Arca Code and Phone No., if known

[Reason forleaving end of Mr. Hansen's term 1 of | office

| Description of work Assigned primarily te criminal division for. preparation of

' £31, REFERENCES? List three: persons who are NOT related to you and who have definite knowledge of your qualifications and fitness for the position for w hich

you are applying. Do NOT fepeat names of supervisors listed under Items 29 and 30. -

PRESENT BUSINESS OR HOME ADDRESS .
(Number, Street, City, State, and ZIP Codey

Fabian’ “abovesonn

“PULL NAMB BUSINESS OR OCCUPATION _

‘Byron L. -. Fisher, BSG.

(see ove Attorney

publishing

763 Sixth Ave.

’ David Winds .
ee Redwood City, CA 94163.
Robert t és “601 Colorado Streer go. Deputy,
Oo ert.L. Hartesty Austin, TX 78701 9 gel gp sen

- CERTIFICATION . SIGNATURE (Sign ininb) RAS. SIGNED
11 CERTIZY that all of the statements made in this fgrm | 4 ; De —-
and In any attachment are true, complete, and correct to the ; : : ae 9/13/7 6

fret af my Unowiledge and belief, and are made in good faith.

(UL SS, GOVERNMERT PRINTING OFFICE : lua6 O - 70-086

Super Conguess of the Anited States eg SRD

fof ns cos none -. Employment Information Form -

Ps L. Name (Lest, First, Middle) C1) Mr, 22) Miss (] Mrs.j] 10- Birth date. (Month, Day, Yea) - fo 14. Lowest ics * annual salary
| -and Address (Nuwiber, Street, City, State, and ZIP Cedz) oe, oe a me 5- 19-44 ; in ; L3" ,
Larson ? Billie Gay eS ; “Mi, Home State . cb 1s. at ‘of Sea other.
: “S14 Sixth St. SE Apt. A] utah Pg |
! Washington, _ D.C. 20003 te Ts TL a6, Weight

. _ 5 __ Feet oe 6 Inches a ; 110 ©

3. Other phone on 9) Aree Cod B. Are you a United. States citizen? _ 17. Social Security Number

oe) < IIS 70¢ My ONo 529-60~ 6414
TALLEY fo 18, Skills SO | |
. & Typing -._ 4? hy pm: De & Shorthand = 80, wpm,
(To be considered for positions involving typing or shorthand, enplicans f

must undergo tests administered either by the Placement Office or “by the Us

. Home phone (incls. lng Area Code)

202- SY7- 304

“4. Kind of Kind of job you are applying for: _ is
secretarial LEsearch, clerk

5. Term of Employment: BS] Full Time [} Summer

6. Will you accept temporary employment? - & Yes (No . ; Pe a Rae a ; the fetter n i msed, assach | Notice of Rating de ed |
- 7. Will you accept part-time employment? . — - C] Yes [&No -[[] Office equipment (specify) - _— . .
8. When will you be available? - o- 20— ] 6 i Co. . i Computer: (J Terminal Operator, 0 Programmer, 0 Systems Analyst ,

rans State entis ith she t vt
9. Are you presently employed t by the U.S. Senate, the U.S. House of Represent ( exp THO EO 0 cif al orn, ANBUARES,,; and  Somponents.) | )

_ tives, or other office of the Congress? [7 Yes (X No.

19. List elizible ratings attained on U.S. Civil Service Commission examinations, titles of examinations and dates of ratings. |.

20. Did you. graduate from high school, or will you graduate within the next. nine months? MYe ~f Ya No

EAR HIGHEST GRADE COMPI:
____ Course irse emphasis: && Academic, - (] Business, [) Other (specify) | debate ’ journal? “EMS drama ST GRADE COMPLETED

21. “21. Training schools attended (for example, business, vocational, arnied forces, or trade). Give for each the name and location of school, dates attended, cubjea |
studied, number of classroom hours of instruction per week, certificates, and any other pertinent data, . o : :

Supervisory Development Seminar oe Ce Me ee
Foremost Insurance Company |. . (one week seminar, spring 175).
Grand Rapids, Michigan _ Enea

srs 7 : Grade. Point
. A. Name and location (ci @ and State) of |. COURSES STUDIED CREDITS COMPLETED Average on

colleges or universities atten Quarter

ee te Major Minor Semester ‘i $5 os Be
University of Utah nists phate . 2 6 BS

Dates

CREDITS COMPLETED

CREDITS COMPLETED |

Quarter

Semester

B. Chief undergraduate college subjects _ Semester Quarter C. Chief graduate college subjects :

D, Special achievernents and. awards. (Provide all scholastic achievements and honors and show participation in extracurricular, civic, eoimmunity end similar a
| i activities, end in a Sees ed sciegtifie societies. ) ,

Awarded arship to University of Utah based on academic achieve-|
ment and extracurricular activities. | Current membership in. Sierra |

Club and.Common Cause..
23. Other languages. (Show proficiency in speaking, writing, and reading.)
read some French and Spanish |

- 24. Dates of military service, ifany. © From: °° >. To: .
‘Branch: Rank: = Serfal Now: _

Answer the following guestions. Cif you answer “Yes” to any of these questions, give all pertinent details in Item 282), .

25. Have. you “been convicted of any “offense against the law or forfeited collateral or are you now under chat nes for any offense against t the law?
: (Omit all trafic violations and any offense com mitt ed prior to your 21st birthday which was finally adjudicated in fuvenile court or under a
Youth Ob ende r Law, ) SS he tee ree ween ee wee eeeeeeee eter eens

7

§ 27. Does the U. §. Govenment employ i in a civilian capacity any relative of yours (by blood or marriage) > : .
{2} relationship; and {3} department; agency, ‘or office. ) -

Peteytd , Do Not Write In This Block
TEST RESULTS mo, - -
W.P.M. ON A 5 MINUTE TEST

os | Zw. W.PM., i. ~ ERRORS)
SHORTHAND: tO W.P.M. on A 3 MINUTE "eT

Cf your answer is Yes,” listin Liem. 28 lore each relatives ee fell narte;

Arg
TYPING: fo

—EeaessT Building
San Francisco, CA

OTHER TEST: ss. :
SCORES: _
MAILING ADDRESS: —. Joiny COMMITTEE ON CONGRESSIONAL OPERATIONS |

OFF ICE OF PLACEMENT AND OFFICE MANAGEMENT |.

NW 88326 . : = WASHINGTON, D.C. 20515
Docld:32239471 Page 29 ce

a nh

oo Describe Hmployment Experience On This Form. - (A résumé is not a substitute for this form and will not be made a part of the
omen —— application, if more than 2 pages.)

“>. PART- LIME And SUMMI: RE mployment aug The Last Three Years.
Salary

- Name of Employer

Position and Duties

| 30. FULL-TIME Employment. (Lrst Most Recent Expertence First.)

650.

Dates of employment (month, year) oe oo. Exgt title of position . | Annual Starts ‘ ;
. Supervisor Starting $_—, —
leon 3/75 > To pnesmermrnan6 /7 5 P MO. neg 810+ 310

: { Name of immediate supervisor *

Name cf: employer (firm, organization, elc.) and address (i neladirsg ZIP Code, if bnown)
Foremost Insurance _ Company

Tom Edwards 100 Wecct TF
, lege ane :
f Area’ Code and Phone No., if known HTS] 93% 1Z400 Walnu tere ek, CA -

i “May i jnguity be made of your preseat employer regarding your your character, qualifications, and record of employment? ~ [sd Yes CI No

b Reason for wanting to leave

- [Description of work Directed COnEFACE and [icensing ACEI ries between Co i
{its agents in 12 western states. Developed new new filing and record Keep
wrote department manual. - Su ervised 5.

Dates of employment (month, year) Exact title of position.

5/72 i 2/73 Executive Secretary

f “Name of immediate supervisor |

“Annual Sal ~
nnual Saag, B00:

mo. Jeaving $ 6. 2 25.

Name of employer (firm, organization, etc.) and address (including Z1P Code, tf bnew wn)

Harold. Kramer, ~uhson Celestial Arts Puphising

po 3f. Adr an Road .
Area Code and Phone No., if knowa ~~ 15 / 6 9 2- L500 63 nut ree A. :
| Beara for esting moved from San Bruno to Moraga (a appr OX. 35 miles Fron ~SETICE)

From

~ for distribution of of new products and product info. to national mktg:
staff. Reviewed material. submitted for pub. consideration. |

Dates of employment (month, year). Annval Salary 435. :

From 4/70 og «OTL ting 6.

mo.
Oo “Leaving s_200..
. ft Name of immediate supervisor

rere ord My Stoddard. a

Exact title of position

Legal Secretary

Nya + Sik On ee ee (Tay (fu nepeding din ony Code, if know aye

. cease 800 Continental Bank Building es

S I Area Code and Phone No., if known Sa 1 t La ke City, oe Utah, .
"ff Reason for leaving ——toved from u Eat Co alifornia~

| Description of work Prepared legal documents and correspondence “For senior “partne

_Re esponsible fe for or dering all office Supplies used by staff of 22.

Exact title of position

Legal | Secretary

[Dates of employment (month, year)
(1/65  ~ 1.69

7 Name of immediate supervisor Name of employer. (firm, a

Attorney General Phil L. Hans » Sate® fake

From.

n, ete. ) and address Graig 0 ZIP Code, if know cay .
une shea General
city;

{| Area Code and Phone No., if known
~ | Reason for leaving ECNd Of Mr. Hansen’ g term oF office
| Description of wok  ASsSigned primarily to criminal division for preparation 6 OF

| pleadings, briefs and correspondence. _ Also substituted for re ceptioni
“and on n telephone < ‘desk.

31,. REFERENCES? List thrée persons who are NOT related to: you and who have definite knowledge of your qualifications and fitness for the Position for which
you ate applying. Do NOT repeat names of supervisors listed under Items. 29 and 30, -

PRESENT BUSINESS OR HOME ADDRESS
ark Street, City, State, and ZIP Code)

Fablag” & Glen enin
(see ove

763 an Ay
Redwood eitve “CA 94163
601 Colorado Stree
Austin, TX 78701

FULT. NAME BUSINESS OR OCCUPATION

Byron t “Fisher, Esq

Attorney

+

“David Hinds -

publishing

§S0. Rangel he
hang Bid:

' DATE SIGNED hs

9/13/76 |

: _. CERTIFICATION

I CERTIFY. that all of the statements made in this f

and in any atlechment are true, complete, and correct to
hest af mv knowledge and belief, and are made in pood faith.

SIGNATURE (Sign in ink)

we

1G78.O = 70-9868 .

Docld 32239471 Page 3M. : U.S. GOVERNMERT PRINTIXG OFFICE !

